Curtale Filippo, Abd El-Wahab Hassanein Yehia, El Wakeel Aly, Mas-Coma Santiago, Montresore Antonio
Italian Cooperation, DGCS, Ministry of Foreign Affairs, Rome, Italy.
J Trop Pediatr. 2003 Oct;49(5):264-8. doi: 10.1093/tropej/49.5.264.
The number of cases of human fascioliasis reported in Egypt, has increased drastically during the past years. Most of the newly infected cases were children and adolescents. In the year 2000, the Egyptian Ministry of Health and Population implemented a cross-sectional survey in four endemic foci of Behera Governorate, in the Nile Delta. The aim of the study was to define prevalence and intensity of human fascioliasis, by age and gender, in order to plan appropriate control measures in endemic areas. The field assessments involved 1331 subjects and utilized the Kato-Katz thick-smear technique, on a double preparation, for quantitative diagnosis of intestinal helminths. A total of 72 positive cases were detected, the majority of them (n = 51, 71 per cent) in subjects below 19 years of age. The highest prevalence and intensity of infection was reported in the 9-11 years age group. Women were more affected then men, but not at a significant level. Primary schoolchildren appeared to be more at risk of contracting the infection and should be considered the main target for control measures. Further studies are needed to identify new ways of infections and possible risk factors responsible for the higher transmission among schoolchildren and women.
在过去几年中，埃及报告的人体片形吸虫病病例数急剧增加。大多数新感染病例为儿童和青少年。2000年，埃及卫生和人口部在尼罗河三角洲的贝赫拉省的四个流行疫源地开展了一项横断面调查。该研究的目的是按年龄和性别确定人体片形吸虫病的患病率和感染强度，以便在流行地区制定适当的控制措施。现场评估涉及1331名受试者，并采用加藤-卡茨厚涂片技术进行双重制备，用于肠道蠕虫的定量诊断。共检测到72例阳性病例，其中大多数（n = 51，71%）为19岁以下的受试者。9至11岁年龄组报告的感染率和感染强度最高。女性比男性受影响更大，但差异不显著。小学生似乎感染该病的风险更高，应被视为控制措施的主要目标人群。需要进一步研究以确定新的感染途径以及导致在校儿童和女性中传播率较高的可能风险因素。
